Petition For Rule-Making - Board of Optometry

							                                               COMMONWEALTH OF VIRGINIA
                                                          Board of Optometry
                             9960 Mayland Drive, Suite 300                                                        (804) 367-4508 (Tel)
                             Henrico, Virginia 23233-1463                                                        (804) 527-4466 (Fax)

                                                       Petition for Rule-making
The Code of Virginia (§ 2.2-4007) and the Public Participation Guidelines of this board require a person who wishes to petition the board to
develop a new regulation or amend an existing regulation to provide certain information. Within 14 days of receiving a valid petition, the
board will notify the petitioner and send a notice to the Register of Regulations identifying the petitioner, the nature of the request and the
plan for responding to the petition. Following publication of the petition in the Register, a 21-day comment period will begin to allow written
comment on the petition. Within 90 days after the comment period, the board will issue a written decision on the petition.

Please provide the information requested below. (Print or Type)
Petitioner’s full name (Last, First, Middle initial, Suffix,)


Street Address                                                                               Area Code and Telephone Number


City                                                                                         State                          Zip Code


Email Address (optional)                                                                     Fax (optional)



Respond to the following questions:
1. What regulation are you petitioning the board to amend? Please state the title of the regulation and the section/sections you want the
   board to consider amending.




2. Please summarize the substance of the change you are requesting and state the rationale or purpose for the new or amended rule.




3. State the legal authority of the board to take the action requested. In general, the legal authority for the adoption of regulations by the
   board is found in § 54.1-2400 of the Code of Virginia. If there is other legal authority for promulgation of a regulation, please provide
   that Code reference.




Signature:                                                                                             Date:




                                                                                                                                       July 2002